A review of second medical opinion cases and its attribute to medical negligence: A retrospective study.

Today the number of cases of medical litigation is increasing and already it has become a great problem for surgeons, anaesthetists and obstetricians. The general practitioners and physicians are also facing the problem and in coming years the profession may turn into a nightmare. SMS Medical College is the biggest and oldest medical teaching institution in Rajasthan. The department of Forensic Medicine handles all types of medico legal works and there is a separate established Medical Board under the chairmanship of the Head of the department. Here we receive second opinion cases from different law enforcing agencies including the hospital and public administration. In this paper we have reviewed the second opinion cases with a primary focus on medical negligence cases in the time period of 2005 t 2009. Total 55 cases were identified out of which 42 were dead and 13 were alive. Maximum numbers of cases were observed in the age group of 21-30years. The number of female cases outnumbered the number of males. Maximum numbers of cases were related to surgical practice (OG-21, Surgery-8, Ortho-6, Neurosurgery-3, ENT-2, Opthal-1 and Urology-1).

Prevalence of extended spectrum beta lactamase and AmpC beta lactamase producers among Escherichia coli isolates in a tertiary care hospital in Jaipur.

Resistance to broad spectrum beta lactams, mediated by extended spectrum beta lactamase (ESbetaL) and AmpC betaL enzymes is an increasing problem worldwide. Presence of these in clinical infections can result in treatment failure if one of the second or third generation cephalosporins is used. Therefore, it is recommended that any ESbetaL-producing organism according to the National Committee for Clinical Laboratory Standards (NCCLS) criteria can be reported as resistant to all extended spectrum beta lactam antibiotics regardless of the susceptibility test results. In this study, a total of 250 Escherichia coli (E. coli) isolates were subjected to Double disc test and AmpC disc test for the detection of ESbetaL- and AmpC betaL-producing strains, respectively. Prevalence of ESbetaL- and AmpC betaL-producing strains among E. coli isolates, over a 3-month-period in the hospital-based population of Jaipur, was 64.80% (162/250). AmpC betaL producers were 24.00% (60/250) and co-existence of ESbetaL and AmpC betaL was detected in 8.00% (20/250) of the isolates.